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Intake Forms

All potential clients need to fill out or intake forms prior to scheduling a session. If you have reached out from a different platform other than our website, instructions to our intake form as well as billing will be forwarded to you.

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Please select which form is most applicable, after it is recieved we will reach out to you (typically 24-48hours after).

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Be a Periscope Guest

Are you a holistic health, sexuality or otherwise open-minded person who has a passion that you want to talk about on Periscope with us? Reach out! We would love to have more guest speakers on our channel.

Stay in touch with us!

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